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Cited by 563Nutritional Studies and DietFood Security and Health in Diverse PopulationsNutrition, Health and Food Behavior

Associations of the Local Food Environment with Diet Quality--A Comparison of Assessments based on Surveys and Geographic Information Systems: The Multi-Ethnic Study of Atherosclerosis

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Moore, L. V., Diez Roux, A. V., Nettleton, J. A., Jacobs, D. R.·2008·American Journal of Epidemiology
DOI 10.1093/aje/kwm394PMC PMC2587217
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Abstract

There is growing interest in understanding how food environments affect diet, but characterizing the food environment is challenging. The authors investigated the relation between global diet measures (an empirically derived "fats and processed meats" (FPM) dietary pattern and the Alternate Healthy Eating Index (AHEI)) and three complementary measures of the local food environment: 1) supermarket density, 2) participant-reported assessments, and 3) aggregated survey responses of independent informants. Data were derived from the baseline examination (2000-2002) of the Multi-Ethnic Study of Atherosclerosis, a US study of adults aged 45-84 years. A healthy diet was defined as scoring in the top or bottom quintile of AHEI or FPM, respectively. The probability of having a healthy diet was modeled by each environment measure using binomial regression. Participants with no supermarkets near their homes were 25-46% less likely to have a healthy diet than those with the most stores, after adjustment for age, sex, race/ethnicity, and socioeconomic indicators: The relative probability of a healthy diet for the lowest store density category versus the highest was 0.75 (95% confidence interval: 0.59, 0.95) for the AHEI and 0.54 (95% confidence interval: 0.42, 0.70) for FPM. Similarly, participants living in areas with the worst-ranked food environments (by participants or informants) were 22-35% less likely to have a healthy diet than those in the best-ranked food environments. Efforts to improve diet may benefit from combining individual and environmental approaches.

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  • Four larger cross-sectional studies found greater accessibility to neighborhood supermarkets was associated with more healthful dietary habits; 1 small cross-sectional study and the only large longitudinal study did not.

    “Four larger cross-sectional studies found that greater accessibility to neighborhood supermarkets (presence, number, or distance) was associated with more healthful dietary habits284–287; 1 small cross-sectional study288 and the only large longitudinal study289 did not.”

    From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [286]

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Authors
Moore, L. V., Diez Roux, A. V., Nettleton, J. A., & Jacobs, D. R.
Affiliations
  • University of Michigan (US)
  • University of Minnesota (US)
ORCID
Venue
American Journal of Epidemiology
Publisher
Oxford University Press (OUP)
Published
2008-02-25
Volume
167
Issue
8
Pages
917-924
ISSN
  • 0002-9262 (ISSN-L)
  • 1476-6256
DOI
10.1093/aje/kwm394
PMC
PMC2587217
OpenAlex
W2108989089
Cited by
563
References
45
Citations by year
2026: 7 · 2025: 17 · 2024: 22 · 2023: 19 · 2022: 22 · 2021: 20 · 2020: 27 · 2019: 29 · 2018: 28 · 2017: 43 · 2016: 37 · 2015: 43 · 2014: 44 · 2013: 53 · 2012: 43
FWCI
35.62
Type
journal article
Language
en
Open access
Locations
  • American Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (n01hc95165-34-0-1, n01hc095169-003, n01hc95159-40-0-1)
  • National Heart, Lung, and Blood Institute (N01 HC-95159, N01-HC095169, N01-HC-095165, N01 HC95165, N01-HC-095159, R01HL071759, N01 HC95169)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
local food environment, diet quality, Alternative Healthy Eating Index, food environment assessment, Multi-Ethnic Study of Atherosclerosis, healthy eating, food access
MeSH terms
Aged, Aged, 80 and over, Arteriosclerosis, Black or African American, Diet, Female, Food Supply, Hispanic or Latino, Humans, Male, Middle Aged, New York, Nutrition Surveys, Nutritional Status, Residence Characteristics, United States, Models, Statistical, Geographic Information Systems

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